Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Head and neck lymphatic cancer Hello Doctor: I underwent surgery for a head and neck lymphatic tumor in 2023, and the tumor was diagnosed as stage III lymphoma. Recently, I found another tumor on the left side of my clavicle. I consulted the same hospital and the doctor suggested...
Dr. Chen Sirong Reply:
Wei Cheng / 35 years old / Male 1. Most head and neck cancer cells are squamous cells and undifferentiated cells; the decision to perform surgery depends on the location. 2. Lymphoma cells are a type of lymphocyte that has transformed into cancer cells; surgery is not necessa...[Read More] Understanding Treatment Options for Head and Neck Lymphoma: Surgery vs. Chemotherapy
Understanding Lymph Node Issues: Symptoms and When to Seek Help
Lymphatic issues I have been experiencing persistent itching in the genital area, and a few months ago, I noticed a lump on the left side of my genitals. Additionally, I have been having frequent pain during urination and difficulty urinating. Last month, I visited a gynecologist...
Dr. Chen Sirong Reply:
Patient: 42-year-old female 1. Gynecological examination 2. Theoretically, there should be no gynecological cancer since the gynecological evaluation has been completed. 3. Lymph nodes can enlarge due to infection, but they may also indicate cancer spread to the lymph nodes...[Read More] Understanding Lymph Node Issues: Symptoms and When to Seek Help
Can You Get Cancer from Contact with Breast Cancer Discharge?
If the nose accidentally comes into contact with breast cancer secretions, is there a risk of infection? Hello doctor: If my nose accidentally comes into contact with the secretions (such as blood or other fluids) from a breast cancer patient (a relative), is there a risk of bein...
Dr. Hu Ziren Reply:
No, cancer is not contagious, so there is no need to panic excessively.[Read More] Can You Get Cancer from Contact with Breast Cancer Discharge?
Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Six months after treatment for tongue cancer, there has been recent swelling and pain in the cervical lymph nodes? A 65-year-old male, who underwent treatment for stage 0 tongue cancer six months ago, has recently experienced pain and swelling in the lymph nodes in the neck. A CT...
Dr. Yan Jingheng Reply:
Hello, 1. Pain relief medications can have different effects on individuals, but acetaminophen is generally considered the mildest pain reliever. 2. For tongue cancer surgery, if it was detected at a very early stage, monitoring after surgery may suffice. However, if the lymph no...[Read More] Managing Lymph Node Pain After Tongue Cancer Treatment: Key Insights
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed several more swollen lymph nodes in my neck. I have been continuously monitoring the situation. Initially, an ultrasound was performed, followed by a CT scan of my neck, and ...
Dr. Chen Sirong Reply:
1. Is it possible for symptoms like fever and night sweats to appear now if the swollen lymph node was initially lymphoma? A: It is possible, but just a possibility. However, if the lymphoma is present, that lymph node would likely continue to grow. If it hasn't increased in...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Understanding Lymph Nodes: Symptoms and Concerns in Oncology
Cervical lymph nodes Last March, I discovered a swollen lymph node in my neck. Since then, I have noticed an increase in the number of swollen lymph nodes in my neck. I have been continuously monitoring this condition. Initially, an ultrasound was performed, followed by a neck CT...
Dr. Chen Sirong Reply:
Mr. Wang / 20 years old / Male 1. Is it possible for a lymphoma that initially presented as a swollen lymph node to now show symptoms of fever and night sweats? A: It is possible, but only a possibility. However, if the lymphoma is present, the swollen lymph node would continue ...[Read More] Understanding Lymph Nodes: Symptoms and Concerns in Oncology
How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Do we have to wait a month to know the sentinel lymph node biopsy report? Hello doctor, my mother's mammogram report from the health center showed abnormalities, and she was advised to go to a major hospital for further examination. At the major hospital, the ultrasound did ...
Dr. Chen Sirong Reply:
Ms. Lin / 39 years old / Female 1. During this week's follow-up, I asked the doctor to print the pathology report. A: Do you understand the report: benign? malignant? 2. I read online that the report takes 4 to 7 business days, but some say it can be determined in 30 minut...[Read More] How Long Should You Wait for Sentinel Lymph Node Biopsy Results?
Understanding Oral Cancer Staging: Insights from Pathology Reports
Staging of Oral Cancer Hello, doctor. My family member had a malignant tumor (on the lip) surgically removed last year. The pathology report indicated that the tumor was approximately 0.5 cm in size, with an invasion depth of 0.8 mm. The margins of the specimen were free of invas...
Dr. Chen Sirong Reply:
Aguo / 51 years old / Male Hello, the pathology report for the lip malignant tumor indicates that the tumor is approximately 0.5 cm in size, with an invasion depth of 0.8 mm. 1. I would like to ask the doctor if this pathology report is considered relatively mild? Also, what s...[Read More] Understanding Oral Cancer Staging: Insights from Pathology Reports
Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Low white blood cell count with abnormal differentiation? I am concerned about not wanting to frequently visit the hospital and occupy medical resources, but I also worry that if there is a real issue, it may delay treatment. Therefore, I would like to ask Dr. Chen whether my sit...
Dr. Chen Yunfang Reply:
Hello: 1. The white blood cell count is unremarkable. You can decide whether to seek medical attention; if so, you should consult a hematologist. 2. Similarly, if you choose to seek medical attention, you can also see a hematologist. 3. These abnormalities do not have any particu...[Read More] Understanding Low White Blood Cell Count and Abnormalities in Cancer Care
Understanding Taiwan's Free Cancer Screening Eligibility and Schedule
National Health Service - Free Five Cancers Screening Hello, doctor. I would like to inquire about the free cancer screenings provided by the Ministry of Health and Welfare's National Health Service. Under qualifying conditions, individuals can receive free screenings every ...
Dr. Chen Sirong Reply:
Fang Fang / 31 years old / Male If a free check-up was used on June 15, 2022, the next eligible date would be January 1, 2024, at Taoyuan Hospital, Merry Christmas. Chen Si-Rong.[Read More] Understanding Taiwan's Free Cancer Screening Eligibility and Schedule
Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Is chemotherapy suitable for a patient with stage IV pancreatic cancer who has insufficient physical strength? My grandmother is 82 years old, lives a regular life, and has no bad habits. She has stage IV pancreatic cancer that has spread to the peritoneum and intestines (diffuse...
Dr. Hu Ziren Reply:
In cases of advanced age and poor nutritional status, where the patient is unable to undergo oral chemotherapy, it is recommended to consider palliative care and symptom management. If palliative care and symptom management are initiated, subsequent evaluations will depend on the...[Read More] Is Chemotherapy Suitable for My 82-Year-Old Grandmother with Stage 4 Pancreatic Cancer?
Choosing the Right Supplements for Bone Health After Cancer Treatment
Medication consultation Hello Doctor: Recently, I received a cancer bone treatment, and my hematologist prescribed bone-strengthening chewable tablets (one in the morning and one in the evening), while my orthopedic doctor prescribed calcium syrup (10-15cc daily). I would like to...
Dr. Chen Yunfang Reply:
Hello: There is no specific standard amount, and it's hard to say which is better. I can't provide a definitive answer; just eat whatever works for you! You can choose one that you prefer. Thank you.[Read More] Choosing the Right Supplements for Bone Health After Cancer Treatment
Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Enlargement of cervical lymph nodes? Hello Doctor, the physician diagnosed me with lymphadenopathy. (I felt a hard lump under my ear, quite firm, immobile, painless, and it feels relatively large, about the size of a small tomato.) I had an HSV-2 infection years ago, and after re...
Dr. Yan Jingheng Reply:
1. HSV is not the virus that causes nasopharyngeal carcinoma; EBV is the virus responsible for nasopharyngeal carcinoma, while HPV is associated with oropharyngeal carcinoma. Currently, there is no confirmed link between HSV and cancer. 2. A biopsy of the lymph nodes is necessary...[Read More] Understanding Enlarged Lymph Nodes: Is It Nasopharyngeal Cancer?
Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
Stage III Oral Cancer Hello: In July of this year, I underwent a stage III oral cancer surgery that involved the removal of oral tissue and neck lymph nodes. I completed 33 sessions of radiation therapy and 8 sessions of chemotherapy by the end of September. Currently, I am in re...
Dr. Chen Sirong Reply:
Mr. Wu / 35 years old / Male. I don't know what your doctor has taught you, but one suggestion is to stack tongue depressors to a thickness of 1.5 cm and then add another piece (to hold in your mouth). This means to practice more. Of course, it doesn't mean you should b...[Read More] Improving Mouth Opening After Stage III Oral Cancer Treatment: Tips and Techniques
How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
If you discover a lump in your armpit, what is the best way to handle it? About one or two months ago, I discovered a hard lump under my left armpit, approximately 3cm by 4cm in size. Sometimes, I experience cramping pain starting from that area, which can radiate to my entire le...
Dr. Chen Sirong Reply:
Hello, Jin, 23 years old, male. 1. Based on these symptoms, what type of issues or diseases could be initially suspected? A: Benign tumor or malignant tumor. 2. Which specialty should I consult? A: General Surgery. 3. What tests should I undergo to confirm whether it is a t...[Read More] How to Handle a Hard Lump Under Your Armpit: Symptoms and Next Steps
Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Follicular lymphoma invading the bone marrow? Hello Doctor: My mother had a car accident a year ago, and during her hospitalization, it was discovered that her spleen was enlarged. A CT scan suggested lymphoma, and a biopsy confirmed follicular lymphoma. The doctor mentioned that...
Dr. Hu Ziren Reply:
1. Patients under the age of 60-65 with normal physical function are suitable candidates for bone marrow transplantation. 2. If the patient's hematopoietic cells in the bone marrow are aging and cancer cells are proliferating rapidly, the risks associated with bone marrow tr...[Read More] Understanding Follicular Lymphoma: Challenges in Bone Marrow Invasion
Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
The HER2+ targeted therapy has been completed. I would like to ask the doctor what dietary supplements can be taken? Hello Dr. Hu, thank you for your previous assistance, which I am very grateful for. My mother has completed her targeted therapy, but she is going to undergo a hip...
Dr. Hu Ziren Reply:
Collagen, undenatured type II collagen, B vitamins, multivitamins, and selenium are all acceptable; in addition to regular monitoring, consider adjusting diet and lifestyle habits, such as reducing oil intake, increasing physical activity, and maintaining a balanced diet.[Read More] Post-Her2+ Targeted Therapy: Safe Supplements for Cancer Recovery
Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
First-line medications for advanced liver cancer? Hello Dr. Hu, My father has been diagnosed with liver cancer that has metastasized to the bones. He has been taking Lenvatinib (Lenvima) for over two years. Recently, the National Health Insurance Administration has approved cov...
Dr. Hu Ziren Reply:
It is not possible to switch from the National Health Insurance (NHI) Reza Wa to NHI A+B according to the regulations of NHI coverage. However: 1. If Reza Wa is still effective, it is recommended to continue using it; 2. If Reza Wa is deemed ineffective, you may consider switchin...[Read More] Switching Liver Cancer Treatment: From Lenvatinib to A+B Therapy
Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Instrument examination Several years ago, a family member underwent surgery for liver cancer and had a good recovery, with follow-ups every three months. Recently, a CT scan indicated a gray shadow on the liver, prompting the doctor to schedule blood tests and a nuclear magnetic ...
Dr. Chen Sirong Reply:
Jj / 31 years old / Male 1. Is the recurrence confirmed as a local recurrence (viable)? A: 2. Local recurrence (viable): - A growing nodule with early enhancement and early washout at the S2/S3 junction, approximately 2 cm in size, suggestive of hepatocellular carcinoma (HC...[Read More] Understanding MRI and CT Scans in Liver Cancer Follow-Up Care
Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?
Leukopenia Hello, doctor. In the past year, my weight has decreased from 72 kg to 66 kg. Recently, in June, I had a check-up at the clinic where my white blood cell count was 4,200, with neutrophils at 46% (highlighted in red), lymphocytes at 42.6% (highlighted in red), monocytes...
Dr. Chen Yunfang Reply:
Hello: Based on the numbers in your report, it does not appear to be leukemia or lymphoma, and the cancer diagnosis is also not accurate! Thank you.[Read More] Understanding Low White Blood Cell Counts: Signs of Leukemia or Lymphoma?